Individual
ALEC EMERY KELEMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1475 CLAY ST, OAKLAND, CA 94612-1411
(510) 836-4225
(510) 836-1449
Mailing address
1475 CLAY ST, OAKLAND, CA 94612-1411
(510) 836-4225
(510) 836-1449
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT8516TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410010890
RR MEDICARE
—
Enumeration date
01/08/2007
Last updated
06/03/2013
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